Provider Demographics
NPI:1477677185
Name:NOEL, CAROLYN J (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:J
Last Name:NOEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2200 WILSON BOULEVARD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-3397
Mailing Address - Country:US
Mailing Address - Phone:703-875-0475
Mailing Address - Fax:703-782-1314
Practice Address - Street 1:2200 WILSON BLVD
Practice Address - Street 2:SUITE 401
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-3397
Practice Address - Country:US
Practice Address - Phone:703-875-0475
Practice Address - Fax:703-782-1314
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0810003790103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist